careers-cotiviti
Senior Manager Quality Audit Operations
Overview The Senior Manager, Quality Assurance leads a team of quality-focused individuals across multiple review types responsible for developing, executing, and continuously improving CCV’s quality assurance programs, and ultimately, delivering value to our clients. This leader oversees the govern
Medical Policy Release Manager
Overview The Medical Policy Release Manager is responsible for managing the medical policies releases, release schedule, and IT system related updates. This role oversees QA, validation, and release of medical policy content prior to production deployment. This person collaborates with the cross-fun
Principal Product Manager (Healthcare AI focus)
Overview The Principal Product Manager, AI plays an expanded strategic and executional role within the AI Product organization, responsible for owning more complex AI-enabled products or multiple product lines within Retro Claims Accuracy (RCA). This role helps build industry-leading AI technologies
Principal Product Manager (Healthcare AI focus)
Principal Architect
Overview The Technical Architect provides architectural leadership and guidance in their assigned business area, aligning solution development efforts with the broader architectural vision and roadmap. A Technical Architect’s skills and knowledge must include multiple domains (Application/Solution a
Senior Technical Product Owner
Overview The Technical Product Owner is responsible for driving solution definitions that support business ideas and product concepts at a team and program level through gathering and translating testable requirements into application software solution requirements. They have deep knowledge of domai
Senior Director Coding Services
Overview The Sr. Director of Coding will be responsible for coordinating strategic efforts including identifying and implementing operational efficiencies, ensuring product quality and overall client alignment. This role will lead key aspects of the Risk Adjustment Coding area, including but not lim
Sales VP-Payment Integrity
Overview This is a hunter role in the healthcare payer space. Extensive experience calling on and selling to Health Plan “C” level executives, SVP Business Owners, procurement, VPs and directors is essential. Experience working in a leading Health Plan software and service vendor in the Payment Inte
Information Systems Security Manager
Overview The Information Systems Security Manager (ISSM), FedRAMP is responsible for overseeing and sustaining the security authorization and continuous compliance of cloud-based information systems supporting United States Federal Government customers. This role is accountable for ensuring the conf
Client Services Manager CCV
Overview The Client Services Manager (CSM) serves as the main point of contact for clients and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth. This role builds and sustains customer relationships and achieves the client’s recognition of Cotiviti as
Payment Accuracy Specialist 1 (Coordination of Benefits)
Overview A Payment Accuracy, Coordination of Benefits (COB) Specialist 1 is a member of the greater Coordination of Benefits Business Unit (BU). Coordination of Benefits involves situations in which an individual is covered by two or more health plans. This role is responsible for reviewing and anal
Content Solutions Analyst (Healthcare)
Overview The Content Solutions Analyst 3 is aligned with our Content and Enablement team, focusing on content optimization, dataset design, and content accuracy. This role partners with various divisions and leadership levels to research, implement, and maintain healthcare policies, billing errors,
Sr Implementation Consultant
Overview The Senior Implementation Consultant assists in the testing and implementation of Edifecs’ solutions purchased by that client. The Implementation Consultant will generally be involved in installing & configuring under the direction of the Technical Project Manager and/or Implementation/Solu
Sr Implementation Consultant
Overview The Senior Implementation Consultant assists in the testing and implementation of Edifecs’ solutions purchased by that client. The Implementation Consultant will generally be involved in installing & configuring under the direction of the Technical Project Manager and/or Implementation/Solu
Implementation Consultant
Overview The Implementation Consultant is a post-sales position focused on individual clients and the implementation of Edifecs solutions they have purchased. This role involves installing, configuring, and overseeing the implementation of Edifecs products for the client. Responsibilities include in
Lead Program Manager - GTM
Overview Cotiviti is seeking a lead program manager to lead go-to-market programs that drive the client experience, value attainment, growth, retention, and renewals. This individual contributor role sits at an intersection of client experience and revenue operations, leading programs that prioritiz
Content Solutions Analyst II (Genetic Testing and Laboratory SME)
Overview The Content Solutions Analyst II for Genetic Testing & Laboratory SME is an independent contributor and key member of the Content Solutions Payment Policy Management (PPM) team who owns the development of policies and coverage/coding rules. This position is responsible for research, quality
Content Solutions Analyst II (Genetic Testing and Laboratory SME)
SVP Enterprise Client Engagement and Strategy
Overview The SVP Enterprise Client Engagement and Strategy is Cotiviti's most senior client-facing executive outside the C-suite. Reporting directly to the Chief Growth Officer, this leader carries full business line accountability for Cotiviti's client relationships — owning commercial performance,
Counsel Government and Regulatory
Overview The Counsel, Government & Regulatory supports the Legal Department by providing legal counsel on government and commercial contracting matters, with a primary focus on federal and state government healthcare programs and associated regulatory frameworks. This role will partner closely with
Temporary Events Coordinator
Overview The temporary Events Coordinator supports the planning, coordination, and execution of internal and external events that create meaningful, well-organized experiences for clients, prospective clients, employees, and key stakeholders. Reporting to the Sr. Director, Marketing Events, this rol
Senior Auditor Contract Compliance (Retail-Construction)
Overview The Senior Auditor Contract Compliance (Construction) performs contract compliance and cost control audits on construction and capital projects, with a focus on distribution center, data center, corporate office, and retail construction, remodel, and build-out programs. This role applies wo